PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2007 2008 2009
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
LifeLine Rustenburg will continue activities described in COP 2008, but in FY 2009 will focus on superior
service delivery by ensuring competent personnel to provide education, motivation and training to
individuals and communities; and continued update and enhancement of imaginative and effective training
material to advance abstinence and be faithful (AB) prevention strategies and programs.
LifeLine will augment existing monitoring and evaluation activities with a state-of-the-art data management
and reporting system. This will enhance monitoring and evaluating activities to ensure accurate and reliable
data compilation, and to guide and improve programs, with the aim of implementing future research
activities.
A further enhancement would be facilitating active involvement of the boy child in peer education and HIV
prevention activities within the community. LifeLine will start targeting boys at school level with the aim of
continued involvement and personal responsibility throughout life. The organization will aim at increasing
the number of HIV negative students who graduate from high school. Ideally, these students would be
equipped with the necessary knowledge and life skills to maintain a negative HIV status successfully, and to
cope with adulthood effectively.
LifeLine will encourage participation of school governing bodies, parents and populations at higher risk in
trainings and other activities that will promote prevention of HIV, sexually transmitted infections and other
preventable diseases. The North West province has a large mining community and therefore emphasis on
training and education for mobile and migrant populations will be amplified.
Another focus area is addressing the intergenerational sex problem and promoting the balance between
youth and adult prevention activities in curbing the high HIV prevalence among young women and adult
men. In life skills training sessions, girls and young women will be targeted with personal empowerment
skills to help discourage them from entering into relationships with older men. For boys and men, training
will emphasize moral responsibility with regard to partnerships with younger girls or women.
---------------------
SUMMARY:The PEPFAR-funded Abstinence and Being Faithful activity described in this FY 2008 COP
harnesses the activities and work of other ongoing projects, namely, the Community Counselor Project,
especially with respect to community mobilization and outreach. It also benefits from contributions from
other donors such as Anglo Platinum Mines, which has committed to three-years of cost-sharing. In
particular, Anglo Platinum Mines are funding a vehicle to be used in the mining areas and covering traveling
costs and stipends for a nurse and driver. Relationships formed with local government and municipal
departments will assist to ensure the continuity of the project. The two major components of the Abstinence
and Being Faithful (AB) program area include community outreach and mobilization around the designated
hot spots and throughout Bojanala District and the LifeLine centre in Rustenburg. The AB messages and
HIV prevention activities address gender issues and gender dynamics directly, encouraging target
populations to examine gender roles in society. Emphasis areas include gender addressing male norms and
behaviors, and reducing violence and coercion as well as human capacity development. Target populations
include boys and girls (aged 10-14); adolescents; and adult men and women, especially of reproductive
age. In a generalized epidemic such as the one in South Africa, the project targets the general population;
thus the project will also reach groups such as persons who engage in transactional sex, but who do not
identify as persons in sex work, discordant couples, people living with HIV, and orphans and vulnerable
children.BACKGROUND:LifeLine Rustenburg is a non-governmental, non-profit, community-based
organization affiliated to LifeLine Southern Africa which in turn is affiliated to LifeLine International. Affiliation
is awarded annually based on maintenance of standards, adherence to policy and procedures and
acceptable performance in areas of service. Operational since 1991, LifeLine focuses on counseling and
crisis intervention services; provision of life skills training; capacity building for community-based
organizations; voluntary counseling and testing (VCT) and HIV prevention activities. To date LifeLine has
implemented a community counselor project (CCP) that provided counselors to 150 health facilities in
Bojanala; established a non-medical VCT site; provided 24-hour counseling service via a national
counseling line; and provided training to numerous other organizations. FY 2008 plans for the project
include placing counselors at all health facilities in the Bojanala District; supplying mobile VCT; conducting
referrals for care to HIV persons; and promoting HIV prevention throughout the Bojanala District of the
North West Province. The South African Government, specifically the Bojanala District Department of
Health in the North West province, supports and contributes to a sustained and broad-based community
mobilization and outreach effort in public health facilities, schools, other government outlets, and through
media. Informal partners include local businesses, Radio Mafisa, local taxi associations, mining
corporations and others, who provide support for our community mobilization and outreach efforts. In
particular, Mafisa Radio Station provides an hour time slot weekly for Lifeline to discuss and debate on
topics related to HIV and AIDS education. The local taxi associations agreed, in FY 2006, to paste Lifeline
stickers on their vehicles and to participate in prevention campaigns.Many prevention modules require male
and female participants to be separated in order to delve into specific issues. This is the approach LifeLine
will continue to use during education and training sessions in the FY 2008 period. The program activities
also emphasize changing male norms and behaviors, promoting one-partner relationships and altering the
norm of violence against women in society. A hot spot is defined as an area that has a high rate of traffic of
vulnerable persons; for example, taxi ranks and the mining hostels. The LifeLine hot spots are currently
located in the Bojanala region, with one hot spot identified in each sub-district. In COP FY2007, PEPFAR
enabled LifeLine to work in eight such hot spots, with the target for COP FY 2008 being 12 hot
spots.ACTIVITIES AND EXPECTED RESULTS:Four activities will be covered in this program area. For
youth, particular emphasis is placed on abstinence and delayed sexual debut based activities. Contact is
made during school hours with education sessions and at the end of the school day when leaving the
premises. After school activities (i.e. sports, youth and church clubs, etc.) are utilized especially to reach the
out-of-school youth. Men and women, especially of reproductive age, are initially reached at the hot spots,
and thereafter encouraged to join more intensive education sessions. They are also contacted at evening
and weekend activities such as men's and/or women's clubs/groups, church groups, "stokvel" meetings, etc.
In a generalized epidemic such as the one in South Africa, the project targets the general population. This
Activity Narrative: will also include encouraging sexually active youth to consider secondary abstinence. Messages for the
older youth and adult population will focus mostly on reduction of number of sexual partners and will
discourage multiple and concurrent sexual relationships as well as cross-generational sex. LifeLine will also
work with the traditional leaders and community to transform male norms and behaviors in order to reduce
violence and sexual coercion, which is rife in the community. ACTIVITY 1: Community MobilizationThe
community mobilization and outreach efforts seek to ensure that the general public receives the necessary
information targeted towards behavior change. Eight community outreach volunteers and four trainers will
conduct the HIV prevention activities in areas surrounding the hot spots, which are visited bi-monthly.
Education is provided in plenary sessions, as well as focus group education and discussion. Education
topics highlight behavior change; attitudes; cultural, legal, gender, alcohol and substance in young people
as a risk factor, and other issues; multiple partners; same sex partners; and cross-generational sexual
partners. The pros and cons of abstinence, benefits of later sexual debut, and one partner relationships will
be highlighted to people who are not yet sexually active. For persons already sexually active emphasis will
be on faithfulness, one partner relationships and secondary abstinence where relevant. All prevention
activities are target and language group sensitive i.e. each target group receives relevant information and
education specific to the age, culture or other dynamic of the group. Some of the LifeLine activities are
conducted at the lifeline offices while others take place within the communities.ACTIVITY 2. Capacity
BuildingHuman capacity development requires ongoing trainings throughout the project for the community
outreach volunteers in order to ensure their motivation, competency and proficiency in carrying out the
activities. Peace Corps volunteers help with training where required. Bi-annual training as an incentive that
ensures retention of staff in the service. Training is conducted on monthly basis as an in-service kind of
training. Workshops of five-days duration aimed at behavior change will be conducted for community
members. These are presented three times per annum per hot spot. Workshops will be held one day a
week over a five week period, with the same participants in groups of 10-20 persons. An evaluation session
will be held three months after completion of each workshop to measure behavior change. A variety of
techniques and participatory methodologies are used. Topics cover basic life skills, behavior patterns,
sexuality, reproductive health, morals and values, choices, consequences and responsibilities, substance
abuse, multiple, concurrent, same sex and cross generation partners, and HIV topics. These activities strive
to influence behavior change in the form of increased abstinence and delayed sexual debut, commitment to
one partner at one time, and general social norm transformation related to gender issues. The workshops
are facilitated by LifeLine trainers.These activities will contribute to PEPFAR 2-7-10 goals of averting HIV
infections through promoting Abstinence and Be Faithful prevention activities among the general population
and youth.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13989
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13989 8271.08 U.S. Agency for LifeLine North 6678 4753.08 $200,000
International West - Rustenburg
Development Centre
8271 8271.07 U.S. Agency for LifeLine North 4753 4753.07 New APS 2006 $108,500
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's legal rights
* Reducing violence and coercion
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $17,361
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
ACTIVITIES AND EXPECTED RESULTS:
- Focus on superior service delivery by ensuring competent personnel to promote HIV prevention strategies
other than abstinence and be faithful.
- Update and enhance imaginative and effective training material to advance safe sex practices, including
the reduction of multiple and concurrent partners and other HIV prevention and support initiatives.
- Augment existing monitoring and evaluation activities with a state of the art data management and
reporting system. This will enhance monitoring and evaluation activities to ensure accurate and reliable
data compilation to guide and improve programs and aim for implementing future research activities.
- Facilitate active involvement of men in peer education, child rearing and HIV prevention activities within
the community.
- Initiate participation of members of school governing bodies, parents and members of at risk populations
(MARPS) in trainings and other activities pertaining to knowledge of prevention of HIV, other sexually
transmitted infections (STIs), as well as other preventable diseases.
- Increase activities within mining areas by requesting hostel management to allow personnel to present
training sessions on mining property during hours when miners are not on duty.
- Target informal settlements adjacent to mining areas targeting the commercial sex workers, girls and
women. Emphasis in this training would be multiple and concurrent partnerships, male circumcision and
cross generational relationships.
- Refer clients who may be at risk and/or have a history of STIs to local health facilities for screening and
management.
- Implement a more effective referral and network system with existing and other partners to enhance
consistent condom use, family planning, counseling and testing and substance/alcohol abuse to increase
prevention education to a wider population.
- Reduce risk perception, promote risk reduction, and use evidence-based information to address the key
drivers of the epidemic. Implement "couple encounter" weekend groups where couples attend behavior
changing training. This would especially be targeted at 15-25 year age group to encourage late onset of
sexual debut as well as focusing on responsibility of cross generation relationships.
-------------------
SUMMARY:
LifeLine's OP activity harnesses the activities and work of its other ongoing projects, such as the
Community Counselor Project, especially with respect to community mobilization and outreach. It also
benefits from contributions from other donors such as Anglo Platinum Mines, which has committed to three
years of cost-sharing. In particular, they are funding a vehicle to be used in the mining areas and covering
traveling costs and stipends for a nurse and driver. Relationships formed with local government and
municipal departments will help ensure the continuity of the project. Salaries and other costs can be
sustained through increased corporate training and workplace programs bringing in substantial revenue for
LifeLine. The two major components of the program area include condom provision with education at
specified sites as well as community outreach and mobilization. Emphasis is on information, education,
dialogue, and HIV prevention activities carried out around the designated hot spots, throughout Bojanala
District and the LifeLine centre in Rustenburg. The OP messages and activities address gender issues and
gender dynamics directly, encouraging target populations to examine gender roles in society. Emphasis
areas for this activity focus on gender by addressing male norms and behaviors and reducing violence and
coercion around the designated hot spots and throughout Bojanala District and the LifeLine centre in
Rustenburg. A "hotspot" is defined as an area that has a high rate of traffic of vulnerable persons; for
example, taxi ranks and the mining hostels. The target groups for the OP messages are males and females
from 15 years and older, including people living with HIV (PLHIV), discordant couples, pregnant women,
persons who engage in transactional sex but who do not identify as persons in sex work, and mobile
populations. Target groups are located in the identified hotspot areas. The LifeLine hot spots are currently
located in the Bojanala region, with two hot spots identified in each sub-district. In FY 2007, LifeLine
operated eight such hot spots. With FY 2008 PEPFAR support, LifeLine will expand its reach by an
additional 4 hot spots, yielding support given to a total of 12 hot spots in the North West Province.
BACKGROUND:
LifeLine Rustenburg is a non-governmental, non-profit, community-based organization, affiliated to LifeLine
Southern Africa and LifeLine International. Affiliation is awarded annually based on maintenance of
standards, adherence to policy and procedures and acceptable performance in areas of service. LifeLine
Rustenburg has been operational since 1991, and serves an area of approximately 200 square kilometers.
LifeLine Rustenberg has a close working relationship with the National Office, which is informed about
projects and services run by LifeLine Rustenburg. Bi-annual consultative meetings are held and quarterly
reports are submitted to the main office by LifeLine Rustenburg.
LifeLine focuses on counseling and crisis intervention services, provision of life skills and personal
development training, capacity building for less established community-based organizations (CBOs),
counseling and testing (CT) and prevention activities. To date, LifeLine has implemented a community
counselor project (CCP) which, in partnership with the provincial department of health, provides counselors
to 150 health facilities in Bojanala, has established a non-medical CT site, provides 24 hour counseling
service via a national counseling line, and has provided training to numerous other organizations. Future
plans for the project are to place counselors at all health facilities, supply mobile CT, support and care to
HIV-infected and affected persons and HIV and AIDS prevention services to rural and other under-serviced
communities throughout the Bojanala District. Care and support activities will be provided through ongoing
partnerships with other CBOs and FBOs (faith-based organizations) with expertise in these areas.
The South African Government, specifically the Bojanala District Department of Health, supports and
Activity Narrative: contributes to a sustained and broad-based community mobilization and outreach effort in public health
facilities, schools, other government outlets, and through media. Informal partners include local businesses,
Radio Mafisa, local taxi associations, mining corporations and others, who provide support for LifeLine's
community mobilization and outreach efforts. In particular, Mafisa Radio Station provides an hour timeslot
weekly for LifeLine to discuss and debate on topics related to HIV and AIDS education, and the local taxi
associations agreed, in 2006, to paste LifeLine stickers on their vehicles and to participate in condom-use
campaigns.
In LifeLine's community outreach and education, many prevention modules require male and female
participants to be separated in order to delve into specific issues. LifeLine will continue to use this approach
during education and training sessions in FY 2008. The program activities also emphasize changing male
norms and behaviors, discouraging cross-generational partners, promoting one-partner relationships and
altering the norm of violence against women in society.
Four activities will be covered in this program area. Messages for younger audiences will focus mostly on
abstinence or delayed sexual debut. This will also include encouraging sexually active youth to consider
secondary abstinence. Messages for the older youth and adult population will focus mostly on reduction in
the number of sexual partners and will encourage non-concurrent sexual relationships. LifeLine will also
promote the consistent and correct condom use. LifeLine will also work with the traditional leaders and
community to transform male norms and behaviors in order to reduce violence and sexual coercion, and
discourage cross-generational sex, which is rife in the community.
ACTIVITY 1: Mobile Counseling and Testing and Health Education Services
LifeLine uses two mobile units to reach high numbers of adolescents and adults in the community. The staff
within each mobile unit consists of: two Counselors, two Community Outreach officials, and one Nurse.
Currently the mobile covers five sub districts in the Bojanala region, and each of these five sub-districts
features a minimum of two hot spots. The mobile unit services each hotspot for approximately seven hours
a day, and a hotspot is revisited on a bi-monthly basis. The main aim of the mobile service is to increase
accessibility, create awareness, and provide education and training on issues relating to HIV and AIDS
prevention within the community. The mobile units provide Counseling and Testing (CT) services, offering a
full range of CT services as well as prevention interventions. During the mobile visits, communities are
educated on correct and consistent use of condoms, as part of a comprehensive ABC prevention program.
Community members who test positive at the mobile unit are referred to the nearest hospital so that they
can be enrolled in treatment, care and support programs.
ACTIVITY 2: Community Mobilization
The community mobilization and outreach efforts seek to ensure that the general public receives the
necessary information targeted towards behavior change. The HIV prevention activities, conducted in the
area surrounding the hot spots, will be conducted by eight LifeLine community outreach volunteers and
trainers. Education is provided in plenary sessions, as well as focus group education and discussion.
Education topics highlight behavior and attitudes concerning: cultural, legal, gender, alcohol and substance
abuse in young people as a risk factors, and other related social issues; multiple partners and cross-
generational partnerships; and, for persons over 15, correct and consistent condom use. All prevention
activities are target and language group sensitive (i.e. each target group receives relevant information and
education specific to the age, culture or other dynamic of the group). Some activities are also conducted at
the LifeLine offices. Individuals who live close to the LifeLine offices can access services at the LifeLine
center. Activities at the LifeLine center are conducted by LifeLine community outreach volunteers and four
trainers.
ACTIVITY 3: Capacity Building
Human capacity development requires ongoing trainings throughout the project. In-service training will be
provided for the community outreach volunteers. This will ensure sustained motivation, competency and
proficiency in carrying out LifeLine's HIV prevention activities. Peace Corps volunteers often assist with
training, as needed. Bi-annual training for new personnel ensures project retention while monthly in-service
training promotes staff retention. Workshops aimed at community members will also be conducted. These
workshops are 2-days in duration, and are aimed at achieving behavior change with respect of safer sex
practices. FY 2008 funding will ensure that these workshops will be conducted once a month per hotspot.
The workshops will be held one day a week over a two week period, with the same participants. Each
workshop will accommodate groups of 10-20 persons. A variety of techniques and participatory
methodologies will be used. Topics cover basic life skills, HIV and AIDS general and prevention education,
correct and consistent use of condoms, concurrent, same sex and cross general partners. The workshops
will be facilitated by LifeLine trainers. In order to access behavior change and retention of information, a
follow-up evaluation session will be held three months after completion of each workshop.
These activities will contribute to PEPFAR 2-7-10 goals of averting HIV infections through promoting
Condom and Other Prevention behaviors among the general population and youth.
Continuing Activity: 13990
13990 8252.08 U.S. Agency for LifeLine North 6678 4753.08 $100,000
8252 8252.07 U.S. Agency for LifeLine North 4753 4753.07 New APS 2006 $79,000
Estimated amount of funding that is planned for Human Capacity Development $13,250
Table 3.3.03:
Three community-based organizations (CBOs) or faith-based organizations (FBOs) will be identified to join
the LifeLine project as sub-grantees. Management in the organizations will be encouraged and supported to
improve the quality of service delivery with an increase in beneficiaries.
Existing monitoring and evaluation activities will be augmented with a state-of-the-art data management and
reporting system to enhance monitoring and evaluating activities to ensure accurate and reliable data
compilation to guide and improve programs.
LifeLine will facilitate active involvement and participation of men in care and support activities, both
managerial and at home-based care level within the community. LifeLine will access training programs by
other organizations to improve skills within the organizations. CBO/FBOs will be trained to improve current
screening to include pain management and identification of symptoms. In the North West province, CBOs,
FBOs, and non-governmental organizations (NGOs) may not prescribe medication unless a medical doctor
is on staff. In homes were adult care and support takes place, children from these homes are referred to
Orphan and Vulnerable Children (OVC) centers, local health facility and social services. CBO/FBOs will also
be trained on HIV/family planning integration (for prevention with positives) and other prevention techniques
(consistent condom use, reduction of multiple and concurrent partnerships etc), adherence and disclosure
support, family centered care, OVC support and pediatric palliative care services. There will be a focus on
developing skills and knowledge to support holistic palliative care that includes services falling under
Emotional, Social, Physical and Spiritual needs.
LifeLine and the sub grantees plan to strengthen existing referral networks, working relationships with other
organizations, and development other networking and referral partnerships within the same geographic
areas. This will aid in the provision of holistic service. CBO/FBOs will be trained on and encouraged to refer
clients for sexually transmitted infection screening and management, family planning, counseling and
testing and substance/alcohol abuse.
-----------------------------
LifeLine's activities in Palliative Care/Basic Health Care & Support involve sub-grantees who have prior
home-based care services and protocol training in line with SAG policies and guidelines. Activities include
the following three components: 1) referral of HIV-infected individuals from the Counseling and Testing unit
to local faith-based and community-based organizations (FBOs/CBOs) for follow-up; 2) Supervision of the
delivery of palliative care services by LifeLine's second-tier sub-grantees (FBOs/CBOs); and 3. Capacity
building in the form of training to support LifeLine's sub-partner FBOs/CBOs. The Bojanala District
Department of Health in North West province assists LifeLine with capacity building and supervision of the
FBOs/CBOs. The program increases access to services for PLHIV, especially women and their families,
who are disproportionately HIV-infected in South Africa.Emphasis areas for this PEPFAR supported
program are human capacity development and local organizational capacity development. The target
populations adolescents aged 15 -24 and adults and also include most at risk populations namely, mobile
population, non injecting drug users, persons who engage in transactional sex, but who do not identify as
persons in sex work, people living with HIV and AIDS (PLHIV), and HIV and AIDS affected families.
BACKGROUND:LifeLine Rustenburg is a non-governmental, non-profit, community-based organization,
affiliated to LifeLine Southern Africa which in turn is affiliated to LifeLine International. Affiliation is awarded
annually based on maintenance of standards, adherence to policy and procedures and acceptable
performance in areas of service. LifeLine Rustenburg has been operational since 1991, and serves an area
of approximately 200 kilometers radius. A close working relationship exits with the National Office -which is
informed about projects and services run by LifeLine Rustenburg. Bi-annual consultative meetings are held
and quarterly reports are submitted to the main office by LifeLine Rustenburg.LifeLine focuses on
counseling and crisis intervention services; provision of life skills and personal development training;
capacity building for less established CBOs; CT (counseling and testing) and prevention activities with
regards to HIV and AIDS. To date, LifeLine has implemented a CCP (community counselor project) which
provides counselors to 150 health facilities in Bojanala (in partnership with provincial Department of Health),
established a non medical CT site, provide 24 hour counseling service via a national counseling line, and
have provided training to numerous other organizations. Future plans for the project is to place counselors
at all health facilities; supply mobile (outreach) CT; support and care to HIV-infected individuals and other
affected persons; and, HIV and AIDS prevention services to rural and other under serviced communities
throughout the Bojanala District of the North West province. Care and support activities will be provided
through ongoing partnerships with other CBOs/FBOs with expertise in these areas.FY 2007 funds were
provided to LifeLine to work in 8 such hot spots. FY 2008 PEPFAR funding will be used to expand the
number of hotspots to increase care coverage. The target groups for the Care activities messages are
PLHIV located in the identified hot spots within North West province. A hot spot is defined as an area that
has a high rate of traffic of vulnerable persons; for example, taxi ranks and the mining hostels. The LifeLine
hot spots are currently located in the Bojanala region, with 2 hot spots identified in each sub-district.
ACTIVITIES AND EXPECTED RESULTS: After initial CT services are provided, clients and/or their family
members will be referred to LifeLine's sub-grantee FBOs/CBOs for ongoing care and support. Counseling
and testing is the entry point to care and support. The care component will be linked to CT services. After
initial testing, clients and/or their family members are referred to the nearest sub-grantee FBO/CBO for
ongoing care and support.
ACTIVITY 1: Palliative Care and Support ServicesThe sub-partner, i.e. the FBOs/ CBOs, carry out the
palliative care services. Each sub-partner provides service delivery in at least two of the five required
categories i.e. clinical, psychological, spiritual care, social care and prevention services. This minimum
package includes screening and referral for opportunistic infections including the provision of cotrimoxazole,
screening and referral for TB, psychosocial counseling, wellness/healthy living education, monitoring and
Activity Narrative: referral, home-based care, advice and assistance on welfare issues and applications for welfare grants, and
hospice and end-of-life care for terminally-ill patients. Through the public health system, the North West
Department of Health will provide rudimentary clinical services to PLHIV that are receiving palliative care
services from the sub-grantee FBOs/CBOs. LifeLine monitors that activities are carried out as per sub-
partner agreements.
ACTIVITY 2: Local Organization Capacity BuildingLifeLine provides capacity building to sub-partners and
strengthens the referral system. The palliative care program is set-up to foster sustainability to enable the
sub-partner FBOs/CBOs to receive organizational capacity building from LifeLine. PEPFAR funding will
support in-service training activities conducted by four LifeLine trainers targeting members of the sub-
partner FBOs/CBOs. Training consists of workshops of five days covering topics relevant to administrative
and financial systems By the end of the project, these FBOs/CBOs will have the skills and expertise
necessary to do fundraising for their own sustainability and to provide proficient services without the
technical support of LifeLine. Peace Corps volunteers help with development, training, assessment and
monitoring of the project activities.In the above activities, to be counted as having received palliative care
service, all HIV-infected clients will receive at least one clinical service and one non-clinical service and
family members will receive service in at least two categories of palliative care.These activities will
contribute to 2-7-10 PEPFAR goal by ensuring PLHIV receive adequate care and support. Its efforts to
strengthen referral networks also ensure PLHIV have greater access to treatment.
New/Continuing Activity: New Activity
Continuing Activity:
Estimated amount of funding that is planned for Human Capacity Development $12,435
Table 3.3.08:
In FY 2009, LifeLine Rustenburg will focus on superior service delivery by ensuring competent personnel to
provide counseling and testing (CT) activities to increase the number of persons who know their HIV status.
It will also add tuberculosis (TB) CT to its existing activities, expand and enhance couple counseling to
include home-based family and child counseling inclusive of counseling and support on adherence for those
on antiretroviral treatment (ART), and concentrate on increasing partner disclosure through more intensive
counseling, support and referrals.
Lifeline will also augment its existing monitoring and evaluation activities with a state of the art data
management and reporting system. This will enhance monitoring and evaluating activities to ensure
accurate and reliable data compilation to guide and improve programs and aim for implementing future
research activities.
Other activities include facilitating an increase in uptake of voluntary counseling and testing (VCT) of males,
youth, adults, most at risk populations, and persons in the 15-24 year age group; implementing a more
effective referral network system with existing and other partners to enhance consistent condom use, family
planning, counseling and testing and substance/alcohol abuse services to increase prevention education to
a wider population; reduce risk perception and promote risk reduction, and use evidence-based information
to address the key drivers of the epidemic. Clients who are tested positive will receive counseling and
guidance with regard to disclosure, with emphasis on partner and family disclosure. The client will then be
referred to the TrendSetters in the prevention program for education on family planning, discordant
partners, and correct, consistent condom use. Thereafter, clients will be referred to the local family planning
services.
This project benefits from contributions from other donors such as Anglo Platinum Mines, which has
committed to three-years of cost sharing. In particular, they are funding a vehicle that will used in the mining
areas, and covering traveling costs and stipends for a nurse and driver. Through the mobile unit operation,
counselors and nurses provide counseling and testing services. Willing clients receive a group HIV
information session, individual pre-test counseling, followed by a rapid test with an accompanying verifying
test, finally a post-test counseling session with further referrals, if necessary. Counseling and testing
sessions occur at designated hot spots where the mobile unit is operating and follows strict policies of
informed consent and confidentiality. This project also includes couple counseling and testing.
Target populations include men and women, boys and girls, discordant couples, pregnant women, persons
living with HIV, young people who are sexually active, mobile populations and people who engage in
transactional sex but who do not identify as persons in sex work. Though they are not targeted directly, the
project hopes to reach out to most-at-risk populations including sex workers, truck drivers, and mobile
populations, by targeting the general population.
Relationships formed with local government and municipal departments will assist to ensure the continuity
of the project. Equipment purchased for the project in the first year will not need to be replaced for many
years. Salaries and other costs can be sustained through increased corporate training and workplace
programs that garner substantial revenue for LifeLine.
Southern Africa, and to LifeLine International. Affiliation is awarded annually based on maintenance of
Rustenburg has been operational since 1991. The organization serves an area of approximately 200
kilometers radius. LifeLine Rustenberg works closely with the National Office, who are informed about
projects and services run by LifeLine Rustenburg. Bi-annual consultative meetings are held and LifeLine
Rustenburg submits quarterly reports to the main office.
voluntary counseling and testing (VCT), and HIV prevention. To date, the organization has implemented a
community counselor project (CCP) that provides counselors to 150 health facilities in Bojanala (in
partnership with North West Department of Health). LifeLine Rustenburg has also established a non-
medical CT site, provided 24-hour counseling service via a national counseling line, and trained staff at
numerous other organizations. Future plans for the project is to place counselors at all health facilities,
supply mobile (outreach) CT, support and care to HIV persons and other affected persons, and to provide
HIV prevention services to rural and other under-served communities throughout the Bojanala District of the
North West province. Care and support activities will be provided through ongoing partnerships with other
CBOs and FBOs with expertise in these areas.
During the COP 2007 period, LifeLine Rustenburg used PEPFAR funds to establish a mobile CT operation.
The mobile unit and counselors at public health facilities provide CT services throughout the Bojanala
District of the North West province. The target groups for the abstinence and being faithful (AB) prevention
messages are males and females, 10 years and older, located in the identified hot spots in the province. A
hot spot is defined as an area that has a high rate of traffic of vulnerable persons; for example, taxi ranks
and the mining hostels. The LifeLine hot spots are currently located in the Bojanala region, and one hot spot
has been identified in each sub-district. PEPFAR FY 2007 enabled LifeLine to work in seven such hotspots,
although the target for FY 2008 is 12 hot spots.
Activity Narrative: ACTIVITIES AND EXPECTED RESULTS:
LifeLine will continue to provide accessible CT services that promote increased knowledge of personal HIV
status. This service will facilitate access to care and support for HIV-infected and affected individuals. This
Mobile CT Unit seeks to ensure the public has easy access to necessary information, counseling and
testing, and prompt referrals for other relevant services. CT services offered are: pre-counseling group
information sessions; individual or couple pre-test counseling inclusive of informed consent; testing and
confirmatory testing, where necessary; and finally individual or couple post-test counseling sessions with
required referrals. Mobile units will be used to improve access in hard to reach communities. CT services
will also be available at the LifeLine centre for neighboring communities. Four nurses and 12 counselors
conduct counseling and testing services through two mobile units that service 12 hot spots. All people who
test positive are referred to treatment and care services.
Through CT, access to services for men and women will improve and gender issues are addressed
accordingly. Statistics show that more women undergo CT at public health facilities. Pre- and post-test
counseling sessions enable test-takers to examine their gender role as individuals and are encouraged to
outline a plan of action for behavior change to prevent HIV infection.
Human capacity development activities through preliminary and ongoing training ensure sustainability. This
ensures that the services are of the high quality and provided by competent staff. LifeLine will report to the
National Department of Health on its activities and will comply with South African legislation in carrying out
its services.
Continuing Activity: 13992
13992 8255.08 U.S. Agency for LifeLine North 6678 4753.08 $200,000
8255 8255.07 U.S. Agency for LifeLine North 4753 4753.07 New APS 2006 $157,000
Estimated amount of funding that is planned for Human Capacity Development $6,890
Table 3.3.14:
